Individual
MRS. ANNE DENISE NEIRYNCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, CDE
Contact information
Practice address
404 N CAYUGA ST, ITHACA, NY 14850-4219
(607) 277-0969
(607) 277-3242
Mailing address
404 N CAYUGA ST, ITHACA, NY 14850-4219
(607) 277-0969
(607) 277-3242
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
2222-0372
NY
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
F332267
NY
363LF0000X
Family Nurse Practitioner
Primary
F332267
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1904865
—
NY
05
—
2734852
—
NY
01
—
AA1307
MEDICARE GROUP
NY
Enumeration date
08/19/2005
Last updated
07/17/2015
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